2023-2024 Orchestra Registration

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Email *

Musician First Name *

Musician Last Name *

Preferred Name

Gender *

Female

Male

Other

Prefer not to say

What ensemble did you play in last year? *

Beginner Strings

Debut

Symphonic

Chamber

I am new to BIYO

Which group are you registering for? *

Prelude Orchestra / Debut Orchestra

Symphonic Orchestra / Chamber Orchestra

Are enrolled/planning to enroll in the Eagle Harbor High School Independent Study Orchestra Class? *

Yes

Age *

Birthday *

Date

School *

Grade *

Musician cell phone (if any)

Musician email (if any)

Instrument *

violin

viola

cello

double bass

Secondary instrument, if any

Do you study with a private teacher? *

Yes

No, but I would like assistance in arranging one

Private Teacher Name & Contact

Parent/Guardian Name(s) *

Address *

Parent/Guardian phone number(s) *

Parent/Guardian email(s) *

Musician physician *

Physician Phone number *

Preferred hospital *

Please provide any additional information such as food or medication allergies, medical conditions, etc *

May we distribute your phone, address, and email as part of the roster to orchestra families? *

Yes

May we use photos of the musician for BIYO promotional purposes or on the website? *

Yes

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This form was created inside of Bainbridge Island Youth Orchestra.